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Home My WebLink AboutRALT-18-2384 City of Arcadia, CA Permit NO. RALT-18-2384 , � Y Deve!opment Services Department Permit Type:Residential Addition/Alteration 240 West Huntington Drive,Post Office Box 60021 Arcadia,CA 91066-6021 Work Classification:Res-Remodel (626)574-5416 Permit Status:Issued ARCADIA Issue Date: 12/24/2018 Expiration: 06/22/2020 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 236 Hacienda DR Arcadia,CA 5770012002 Contacts THOMAS&JERILYN BECK Owner 236 HACIENDA DR (626)355-4369 Description:REMODEL KITCHEN,LAUNDRY RM AND BATH. Valuation: $45,000.00 Tenant Total Sq Feet: 0.00 Plan Check# Plan#32653 Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $1,480.82 Building Permit Fees $742.75 Cash/Receipt#REC-003226-2018 $1,480.82 Building Plan Review Fee $482.79 Cal Green Plan Check $48.28 Amount Due: $0.00 Energy Plan Review Fee $148.55 Green Building Standard $2.00 Solid Waste Management Fee $6.25J Strong Motion Inst.Program Res $5.85 `tf'j. ��- ;ii Tota l: $1,480.82 CALLS FOR INSPECTIONS • C: Request for inspection by telephone at 626-574-5450. Leave a message �/� /nil( requesting the address,timeframe and what inspection item is needed. /-74e4W'7�e(�c6 �,�i` Thisermit lan expirestime limitation and becomes null and p /p review b Y void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. December 24, 2018 Issued By: Date September 10,2020 Page 1 of 1 •FA• F 4 1 PERMIT/PLAN REVIEW APPLICATION - rt ' Development Services Department,240 West Huntington Drive,Post Office Box 60021 ,4�1j. Arcadia, CA 91066-6021, (626) 574-5416,Fax (626) 447-9173 ItY of\\ City of Arcadia LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION ❑ I hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. ❑ I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION ❑ I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant for such permit to file a signed statement that he or she is licensed pursuant to the Policy Number provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of .0 I certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall 0 I, as owner of the property, or my employees with wages as their sole forthwith comply with those provisions. compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License Date Signature Law does not apply to an owner of property who builds or im. .ves thereon, \' or who does such work himself or " ,; .^o;, ►sown employees,provided that such improve ;esti art=h 'i,,', c ed` for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improv fi •d i in one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, did not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. ❑I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044, Business and Professions Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name Date Signature Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos. Please contact AQMD at(909)396-2000 for further information. 1, J Name Th1004 L A ( rt_iGK &CK Title O(' )h-- --(/1_, PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned property fo in tion purposes. Signature Date P. ,y4.4r k, City of Arcadia, CA Permit NO. RALT-18-2384 Development Services Department Permit Type:Residential Addition/Alteration t 240 West Huntington Drive,Post Office Box 60021 j k Arcadia,CA 91066-6021 Work Classification:Res-Remodel (626)574-5416 Permit Status:Issued ARC.'1)1 A Issue Date:12/24/2018 Expiration: 06/22/2019 Addr NO. Dir Prefix Street Name Street Suffix Unit City,State,Zip Parcel Number 236 Hacienda DR Arcadia,CA 5770012002a Contacts JERILYN BECK Owner 236 HACIENDA DR (626)355-4369 Description:REMODEL KITCHEN.REMODEL 1 BATH,MISC Valuation: $45,000.00 Tenant STRUCTURAL WORK PER APPROVED PLANS Total Sq Feet: 0.00 Plan Check# Plan#32653 1 1 Fees Amount Payments Amount Paid Building Issuing Fee $44.35 Total Fees $1,480.82 Building Permit Fees $742.75 Cash/Receipt if REC-003226-2018 $1,480.82 Building Plan Review Fee $482.79 Amount Due: $0.00 Cal Green Plan Check $48.28 Energy Plan Review Fee $148.55 Green Building Standard $2.00 Solid Waste Management Fee $6.25 Strong Motion Inst.Program Res $5.85 Total: $1,480.82 CALLS FOR INSPECTIONS / Request for inspection by telephone at 626-574-5450. Leave a message requesting the address,timeframe and what inspection item is needed. 4ee leo.s m, This permit/plan review expires by time limitation and becomes null and void if the work authorized by the permit is not commenced within 180 days from the date of issuance or if the permit is not obtained within 180 days from the date of plan submittal.This permit expires and becomes null and void if any work authorized by this permit is suspended or abandoned for 180 consecutive days or if no progressive work has been verified by a City of Arcadia building inspector for a period of 180 consecutive days. December 24, 2018 Issued By: Date December 24,2018 Page 1 of 1 I ' � PERMIT/PLAN REVIEW APPLICATIONS >�`�p . Development Services Department,240 West Huntington Drive,Post Office Box 60021 bonier 1V Arcadia,CA 91066-6021, (626) 574-5416,Fax (626)447-9173 City of Arcadia , LICENSED CONTRACTOR'S DECLARATION WORKERS'COMPENSATION DECLARATION 0 1 hereby affirm under penalty of perjury that I am licensed under provisions of I hereby affirm under penalty of perjury one of the following: Chapter 9(commencing with Section 7000,of Division 3 of the Business and Professions Code,and my license is in full force and effect. 0 I have and will maintain a certificate of consent to self-insure for workers' License Class License No. Exp. Date compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Signature of Contractor OWNER-BUILDER DECLARATION 0 I have and will maintain workers'compensation insurance,as required by Section ❑ I hereby affirm under penalty of perjury that I am exempt from the Contractors 3700 of the Labor Code,for the performance of the work for which this permit License Law for the following reason(Section 7031.5,Business and Professions is issued.My workers'compensation insurance carrier and policy numbers are: Code.Any city or county which requires a permit to construct,alter,improve, Carrier demolish,or repair any structure,prior to its issuance,also required the applicant Policy Number for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section (This section need not be completed if the permit is for one hundred dollars or less) 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt there from and the basis for the alleged exemption. Any violation of ❑II certify that in the performance of the work for which this permit is issued,I shall Section 7031.5 by any applicant for a permit subjects the applicant to a civil not employ any person in any manner so as to become subject to the workers' penalty of not more than five hundred dollars($500)): compensation Laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall I. as owner of the property, forthwith comply with those provisions. ❑ or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044,Business and Professions Code:The Contractors License 1 Date Signature Law does not apply to an owner of property who builds or improves thereon, or who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for WARNING: Failure to secure Workers'Compensation coverage is unlawful, sale.If,however,the building or improvement is sold within one(1)year of and shall subject an employer to criminal penalties and civil fines up to one completion,the owner-builder will have the burden of proving that he or she hundred thousand dollars($100,000),in addition to the cost of compensation, id not build or improve for the purpose of sale). damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions ✓ Code:The Contractors License Law does not apply to an owner of property CONSTRUCTION LENDING AGENCY who builds or improves thereon,and who contracts for such projects with a I hereby affirm under penalty of perjury that there is a construction lending agency contractor(s)licensed pursuant to the Contractors License Law). for the performance of the work for which this permit is issued (Section 3097, Civil Code). ❑ I am exempt under Section 7044,Business and Professions Code,for this reason: Lender's Name ,....-- 7--,' Date t 2{21-1l 1 Signa Lender's Address IMPORTANT: APPLICATION IS HEREBY MADE TO THE BUILDING OFFICIAL FOR A PERMIT SUBJECT TO THE CONDITIONS AND RESTRICTIONS SET FORTH ON THIS APPLICATION AND THE FOLLOWING: 1. The City's approved plans and permit inspection card must remain on the job site for use by City inspection personnel. 2. Final inspection of the work authorized by this permit is required.A Certificate of Occupancy must be obtained prior to use and occupancy of new buildings and structures. 3. Per South Coast Air Quality Management District(AQMD)regulations,renovation and remodeling work that results in the removal,stripping,or altering of asbestos containing materials requires an asbestos survey and removal prior to disturbing the asbestos.Please contact AQMD at(909)396-2000 for further information. Name J l 0(}A✓s V K- itle b WNL- L( PRINT NAME I certify that I have read this application and state that the above information is correct and that I am the owner or duly authorized agent of the owner. I agree to comply with all City ordinances and State Laws relating to building construction. I hereby authorize representatives of the City of Arcadia to enter upon the above-mentioned prope y 1- inspection purposes. -� ) `Signature �y ��1 Date ``_L 1I NOTES/ 3g�L ( *,/ Building Inspections Date Insp. Plumbing Inspections Date Insp. % nom, / 100. Setbacks 210. Under flr./bldg.drain // 101. Rough grade 211. Copper underslab 102. Figs.&forms 212. Rough plumbing 103. Pre-slab 213. Rough gas 104. Floor joists 214. Shower pan 105. Steel 215. Water heater 106. Grout lift 216. Roof drains 107. Shear nailing 217. Building sewer 108. Diaph nailing 218. Water service 109. Roof nailing 219. Final gas 110. Framing 220. Fixtures / " 111. Occ./Area Sept.Wall 221. Final plumbing /`7 112. Sound walls 222. Sewer cap/demo. 113. T-bar.rid 114. Insulation-Flr. Pool Inspections I Date Insp. 115. Insulation-Wall 240. Excavation/steel 116. Insulation-Ceil. 241. Rough plumbing 117. Drywall nailing fs/r'` 242. Light shell/bonding 118. Interior lath 243. Underground conduit 119. Exterior lath 244. P-trap 120. Finish grade 245. Gas line&test 121. Final building 4:72/50 vU �5T 246. Fence,gates&signs 122. Final demo/lot clear 247. Pool heater 248. Final electric Electrical Inspections Date Insp. 249. Final.lumbin. 150. Power pole 250. Pool cover 151. Sales lot lighting 251. Pool final 152. Under.round conduit 153. Underslab conduit Reroof Inspections Date Insp. 154. UFER ground _270. Pre-reroof insp. 155. Water ground 271. Roof framing 156. Rough electrical (�-/j Zb,"272. Sheathing nailing 157. Fixtures 273. Final reroof 158. G.F.C.I. 159. E.at.bondin. Sign Inspections I Date Insp. 160. Service panel 280. Setback/overhang 161. Final electric C;71.< 281. Footing 282. Conduil/wirin. Mechanical Inspections Date Insp. 283. Disconnect 180. Venting/flue 284. Final sign 181. Furnace/A.C. 182. Rouch HVAC (r/l Miscellaneous Insp. Date Insp. 183. Fire dampers 290. Fire alarm 184. Furnace compartment 291. Underground supply 185. Combustion air 292. Fire sprinklers 186. Smoke detectors 293. Monitor system 187. Metal F.P.rough 294. Hood dry chem. 188. Compressor setback 295. Final 189. Commercial hood 190. Duct shaft Sewers&Offsite Insp. I Date I Insp. 191. Final mechanical - i O _ 300. Lateral(main to P/L) 301. Saddle/Y Block Wall Inspections Date Insp. 302. Ce ...I filled 200. Footings 303. Sidewalk 201. Steel/rebar 304. Driveway 202. Grout lift 305. Curb replacement 203. Final wall 306. Trash bin .� 14"e .., '",t ---:::::::--. t , ,..... ��1wM IM ,,,I. k„0\_ is --t, AFFIDAVIT SELF-CERTIFICATION FOR COMPLIANCE OF SMOKE ALARMS AND CARBON MONOXIDE ALARMS Property Address: lb • I _a , _ 1 A kONJ QC; Permit Number: /\�`— Y6' tA Brief Job Description: CZenev&ek V.-\C\Av\itcA.--L\ : U.1,.1 Number of smoke alarms installed: '›Cho Number of carbon monoxide alarms installed:t) When alterations, repairs or additions requiring a permit occur, or sleeping rooms are created, Smoke alarms shall be installed in each sleeping room, and outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements and habitable attics as required by Section R314 of the 2016 California Residential Code (CRC) and California Health and Safety Code Section 13113.7. For dwellings or sleeping units containing fuel burning appliances or having attached garages, carbon monoxide alarms shall be installed outside each separate sleeping area in the immediate vicinity of the bedrooms, and on each additional story of the dwelling, including basements as required by Section R315 of the of the 2016 California Residential Code (CRC). Multi-purpose alarms (combination carbon monoxide and smoke alarms) may be used. All alarms shall comply with requirements for listing and approval by the Office of the State Fire Marshal. http://osfm.fire.ca.qov/Iicensinglistings/licenselistinq bml searchcotest.php As owner of the above referenced property, I hereby certify that the smoke alarms and carbon monoxide alarms have been installed in accordance with the manufacturer's instructions and in compliance with the code sections referenced above. I declare under penalty of perjury that th"ea f re eying is t lie and correct, and that this declaration was executed on (Date) . . V/ o_:__---- _� . al Arcadia, California. Owner's Name (printed/typed): ,6. 1i.Nor missirdral Signature of Owner: _ I .4110 I his affidavit must be returned to the City of Arcadia inspector prior to final inspection